优化快速流程模式对直肠癌患者手术效果的影响  

Effects of Fast-track on Postoperative Efficacy of Patients with Rectal Cancer

作　　者：张玉秀[1] 田永波[1] 王凯宇[1] 

机构地区：[1]北华大学附属医院,吉林吉林132011

出　　处：《北华大学学报（自然科学版）》2016年第6期815-819,共5页Journal of Beihua University（Natural Science）

基　　金：吉林市科技发展计划项目(201437)

摘　　要：目的分析快速流程模式(FT)对直肠癌手术效果的影响.方法选择100例符合条件的患者,随机分成两组,观察组进行FT,对照组应用传统模式(TC),对比研究两组患者的康复效果并统计两组出现并发症的例数.结果观察组患者的术后住院天数、首次排气时间、首次下床活动时间、首次经口进食时间、首次拔除胃管以及尿管时间均短于TC组,其差异具有统计学意义(P<0.05);两组之间首次拔除引流管的时间差异无统计学意义(P>0.05);两组患者在吻合口瘘、肠梗阻、切口感染的发生率及总发生率的差异均无统计学意义(P>0.05).结论对直肠癌患者围手术期实施快速流程模式,手术效果显著,且并不增加术后并发症,是一种安全有效的方法.Objective To investigate the effect of fast-track on the postoperative efficacy of rectal cancer. Method 100 patients who were in accordance with the inclusion criteria were randomly divided into two groups. The patients in the observation group was treated by fast-track and th^se in the control group were treated with the traditional care （TC）. The postoperative rehabilitation was-compared and the number of complications was calculated in patients in the two groups. Results The length of stay in hospital after surgery, the first time of passing flatus, the first time for dieting by mouth, the first time of ambulation, the first time to remove gastric tube, and the first time to remove urine tube in the observation group were all better than those in the control group （ P〈O. 05）. The time for removing drainage tube in the two groups was not significantly different （P〉0.05）. There was no significant difference in the anastomotic leakage rate, intestinal obstruction, infection of incision and total incidence of complications between the two groups （P〉0.05）. Conclusion Fast-track is a safe and effective method, which can effectively promote postoperative recovery and does not increase the postoperative complications of perioperative patients with rectal cancer.

关 键 词：快速流程模式 直肠癌 手术效果 

分 类 号：R735.37[医药卫生—肿瘤]